摘要
在30侧成人下肢标本上,解剖观测了腓动脉至胫腓骨远段的分支、腓血管行至小腿中部时,位于腓骨内面、胫骨后外侧.腓动脉至胫骨下段的分支可以发自吻合支或直接发自腓动脉.腓动脉至腓骨下段的分支为弓形动脉.根据解剖结果,设计了以腓血管为蒂的胫腓骨远段联合骨(膜)瓣,移位修复胫骨骨不连、骨缺损或逆行行踝关节融合等.
An anatomical study was made in 30 adult cadaveric lower limbs to observe the branches derived from the peroneal artery to the distal tibia and fibula. The peroneal artery descends along the medial surface of the fibula and the posterior and lateral surface of the tibia. The branches from the peroneal artery to the distal tibia may originate from the anastomic branch or from the distal peroneal artery directly. The branches from the peroneal artery to the distal fibula are arcuate arteries. According to the results,combined distal tibial and fibular osteoperiosteal flap pedicled with the peroneal vessels was designed for repairing the defect of the tibia and the reversed osteoperiosteal flap could be used to repair the talocrural joint.
